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Pennsylvania rates for HCPCS A4355

Irrigation tubing set for continuous bladder irrigation through a three-way indwelling Foley catheter, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.11 / $6.11 / $9.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.33 / $7.64 / $9.69
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.49 / $12.46 / $12.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.85 / $5.85 / $14.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $5.08 / $6.03
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.46 / $12.46 / $23.67
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.15 / $45.77 / $56.36
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.11 / $6.11 / $9.69
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.26 / $7.64 / $11.78
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.30 / $17.00 / $24.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.85 / $5.85 / $14.60
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $5.08 / $8.81
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.90 / $11.86 / $11.86
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.90 / $11.86 / $11.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.25 / $6.22 / $10.89